产后盆底功能康复中生物反馈、阴道哑铃联合Kegel盆底锻炼的应用对盆底功能的影响

Effect of Biofeedback,Vaginal Dumbbell Combined with Kegel Pelvic Floor Exercise on Pelvic Floor Function in Postpartum Pelvic Floor Rehabilitation

目的:探讨产后盆底功能康复中生物反馈、阴道哑铃联合Kegel盆底锻炼的应用对盆底功能的影响。方法:选取2017年12月-2019年12月云浮市中医院收治的80例盆底功能障碍产妇,随机分为两组,每组40例。对照组采用阴道哑铃联合Kegel盆底锻炼治疗,研究组采用生物反馈、阴道哑铃联合Kegel盆底锻炼治疗。比较两组盆底脱垂分度、盆底肌肉张力变化情况,比较两组压力性尿失禁发生率与并发症发生率。结果:两组治疗前POP-Q分度比较,差异无统计学意义(P>0.05);研究组治疗3个月后POP-Q分度优于对照组(P<0.05)。两组治疗前盆底肌肉张力情况比较,差异无统计学意义(P>0.05);研究组治疗3个月后阴道收缩持续时间、VSP、VRP均高于对照组(P<0.05)。治疗过程中,研究组SUI发生率低于对照组(P<0.05)。随访6个月,研究组并发症发生率低于对照组(P<0.05)。结论:产后盆底功能康复中应用生物反馈、阴道哑铃联合Kegel盆底锻炼治疗方案,能明显改善盆腔器官脱垂,提高盆底肌肉张力,降低膀胱脱垂、直肠脱垂、子宫脱垂、阴道松弛、腰骶酸痛等并发症发生率,是产后盆底功能康复较好的治疗方案,值得临床推广借鉴。

Objective:To explore the effect of biofeedback,vaginal dumbbell combined with Kegel pelvic floor exercise on pelvic floor function in postpartum pelvic floor rehabilitation.Method:From December 2017 to December 2019,80 pregnant women with pelvic floor dysfunction were selected and randomly divided into two groups,40 cases in each group.The control group was treated with vaginal dumbbell combined with Kegel pelvic floor exercise,while the study group was treated with biofeedback,vaginal dumbbell combined with Kegel pelvic floor exercise.The degree of pelvic floor prolapse and the changes of pelvic floor muscle tension were compared between two groups,the incidence of stress urinary incontinence(SUI)and complications were compared between two groups.Result:Before treatment,there was no significant difference in grade of POP-Q between two groups(P>0.05);after 3 months of treatment,the grade of POP-Q in the study group was better than that in the control group(P<0.05).Before treatment,there was no significant difference in pelvic floor muscle tension between two groups(P>0.05);after 3 months of treatment,the duration of vaginal contraction,VSP and VRP in the study group were higher than those in the control group(P<0.05).During the treatment,the incidence of SUI in the study group was lower than that in the control group(P<0.05).After 6 months of follow-up,the incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:Application of biofeedback,vaginal dumbbell combined with Kegel pelvic floor exercise therapy in postpartum pelvic floor rehabilitation,pelvic organ prolapse and pelvic floor muscle tension improve significantly,bladder prolapse,rectal prolapse,uterine prolapse,vaginal relaxation,lumbosacral pain and other complications decrease significantly,it is a good treatment plan for postpartum pelvic floor function rehabilitation,which is worthy of promotion clinical promotion and reference.